Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DUDENBOSTEL, DEANNA

NPI: 1518914845 · COLMAR, PA 18915 · Pediatric Dentist · NPI assigned 05/30/2006

$7K
Total Medicaid Paid
324
Total Claims
324
Beneficiaries
4
Codes Billed
2018-04
First Month
2023-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 153 $3K
2019 119 $2K
2023 52 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 148 148 $3K
D1206 Topical application of fluoride varnish 138 138 $3K
D1120 Prophylaxis - child 26 26 $990.24
D0220 Intraoral - periapical first radiographic image 12 12 $165.24